Recent advances in diagnostic upper endoscopy

查看全文 作　　者：Jun-Liang [1,2]Teh;Asim [1]Shabbir;Soon [2]Yuen;Jimmy Bok-Yan [1,3]So

机构地区：[1]Department of Surgery,National University Hospital System,Singapore 119228,Singapore;[2]Department of Surgery,Jurong Health Campus,National University Health System,Singapore 609606,Singapore;[3]Department of Surgery,National University of Singapore,Singapore 119074,Singapore

出　　处：《World Journal of Gastroenterology》索引2020年第26卷第4期,共15页

摘　　要：BACKGROUND Esophageo-gastro-duodenoscopy(EGD)is an important procedure used for detection and diagnosis of esophago-gastric lesions.There exists no consensus on the technique of examination.AIM To identify recent advances in diagnostic EGDs to improve diagnostic yield.METHODS We queried the PubMed database for relevant articles published between January 2001 and August 2019 as well as hand searched references from recently published endoscopy guidelines.Keywords used included free text and MeSH terms addressing quality indicators and technological innovations in EGDs.Factors affecting diagnostic yield and EGD quality were identified and divided into the follow segments:Pre endoscopy preparation,sedation,examination schema,examination time,routine biopsy,image enhanced endoscopy and future developments.RESULTS We identified 120 relevant abstracts of which we utilized 67 of these studies in our review.Adequate pre-endoscopy preparation with simethicone and pronase increases gastric visibility.Proper sedation,especially with propofol,increases patient satisfaction after procedure and may improve detection of superficial gastrointestinal lesions.There is a movement towards mandatory picture documentation during EGD as well as dedicating sufficient time for examination improves diagnostic yield.The use of image enhanced endoscopy and magnifying endoscopy improves detection of squamous cell carcinoma and gastric neoplasm.The magnifying endoscopy simple diagnostic algorithm is useful for diagnosis of early gastric cancer.CONCLUSION There is a steady momentum in the past decade towards improving diagnostic yield,quality and reporting in EGDs.Other interesting innovations,such as Raman spectroscopy,endocytoscopy and artificial intelligence may have widespread endoscopic applications in the near future. 关键词：Upper endoscopy GASTROSCOPY Quality indicators Gastric cancer

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Recent advances in diagnostic upper endoscopy

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